Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Ultrasonography guided subarachnoid block in obese patients: Ultrasonography guided landmark noted and subarachnoid space located and timing and needle insertion and needle relocation t
Sponsors
Government of Gujarat
Eligibility
Inclusion criteria
Inclusion criteria: Patients eligible for surgery under subarachnoid block. Patient posted for elective surgery. Informed written consent BMI >30. Gender: Either ASA physical status I and II
Exclusion criteria
Exclusion criteria: Patient refusing consent Contraindication subarachnoid block, Infection at the site of injection. Bleeding and clotting disorders. Patient receiving medication affecting coagulation. Previous spine surgery or spine deformity. � Patients with neurological abnormality.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1)Time required to localise the mid-point of inter spinous space. 2)Time required for identification of subarachnoid space (Free flow of CSF through spinal needle). 3) Number of times needle redirected to obtained CSF (Number of passes). 4)The number of needle insertion attempts required to enter the subarachnoid space. 5)Traumatic needle puncture. (Blood coming out through needle). Timepoint: Continuous time monitoring on a stopwatch in seconds from start of procedure to the end of procedure. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1)Peri procedural subjective pain score. 2)Hemodynamic disturbance during procedure i.e. Tachycardia ,bradycardia,Hypertension,Hypotension,Arrythmia..Timepoint: All above parameters are observed at 1 min,5 min,10 min,15 min upto 30 min from start of procedure. | — |
Countries
India
Contacts
Public ContactDrDCTripathi
B.J.medical college,civil hospital, Ahmedabad
Outcome results
None listed